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http://hdl.handle.net/10773/28081
Title: | Home-based physical activity programs for people with dementia: systematic review and meta-analysis |
Author: | Almeida, Sara Gomes da Silva, Madalena Marques, Alda |
Keywords: | Exercise Nonpharmacological intervention Major neurocognitive disorder |
Issue Date: | 2019 |
Publisher: | Oxford University Press |
Abstract: | Background and Objectives: Physical activity has the potential to improve health outcomes in people with dementia, namely when living at home. However, the knowledge about home-based physical activity for this population is scarce. Thus, we aim to identify and synthesize the effects of home-based physical activity for people with dementia. Research Design and Methods: A systematic review was conducted. Quality of studies was assessed using the Delphi List. Effect sizes (ES) were calculated with MetaXL 2.0. A meta-analysis was conducted for the Mini-Mental Status Examination (MMSE), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia, Alzheimer’s Disease Cooperative Study Group Activities of Daily Living Scale (ADCS-ADL), Functional Reach test, Timed Up and Go (TUG) test, Short Physical Performance Battery, Dementia Quality of Life, NPI Caregivers subscale and Zarit Burden Interview (ZBI). Results: Sixteen randomized controlled trials were included. Most were of high quality and published after 2015. A large heterogeneity of interventions was found. Meta-analysis showed significant results in MMSE (ES = 0.71, 95% CI 0.43, 0.99), NPI (ES = −0.37, 95% CI −0.57, −0.17), ADCS-ADL (ES = 0.80, 95% CI 0.53, 1.07), Functional Reach test (ES = 2.24, 95% CI 1.80, 2.68), TUG test (ES = −2.40, 95% CI −2.84, −1.96), NPI Caregivers subscale (ES = −0.63, 95% CI −0.94, −0.32), and ZBI (ES = −0.45, 95% CI −0.77, −0.13). Few minor adverse events and high adherence to intervention were found. Discussion and Implications: Home-based physical activity seems safe and effective in delaying cognitive function decline and improving changes in behavioral and psychological symptoms of dementia, activities of daily living, health-related physical fitness, and carer’s burden in people with dementia living at home. |
Peer review: | yes |
URI: | http://hdl.handle.net/10773/28081 |
DOI: | 10.1093/geront/gnz176 |
ISSN: | 0016-9013 |
Appears in Collections: | IBIMED - Artigos DEP - Artigos ESSUA - Artigos Lab3R - Artigos |
Files in This Item:
File | Description | Size | Format | |
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2019_Almeida_Home Based Physical Activity Programme.pdf | 376.22 kB | Adobe PDF | View/Open |
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